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General NPI Number Information
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NPI Number | 1740150705
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Entity Type | Organization
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Legal Business Name | BLUE ROBIN ABIDING MEDICAL INNOVATIONS
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 201 SOUTHFIELD CT
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City | BONAIRE
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State | GA
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Zip | 31005-3538
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Country | US
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Telephone | 478-227-3707
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Fax |
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Provider Business Mailing Address
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Address Line | 201 SOUTHFIELD CT
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City | BONAIRE
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State | GA
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Zip | 31005-3538
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE & NP
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Name | SALLY ARNOLD
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Credential | NP
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Telephone | 478-973-1649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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